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Management of West Nile Virus Encephalitis with Bulbar Weakness in a Renal Transplant Recipient

Case Presentation: A 40-year-old-male with history of diabetes type 1 and renal transplant on immunosuppression presents with 2 weeks of weakness, anorexia, and cough. Initial exam revealed temperature 102.8 but was otherwise normal. He was [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Management of West Nile Virus Encephalitis with Bulbar Weakness in a Renal Transplant Recipient

Iatrogenic Takostubo Cardiomyopathy in a Patient with Angioedema

Case Presentation: A 21 year old Caucasian female with an unremarkable medical history presented with sudden onset of throat, lip and tongue angioedema. Due to concern for complications, she was given intravenous (IV) diphenhydramine, solumedrol [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Iatrogenic Takostubo Cardiomyopathy in a Patient with Angioedema

Sagging Brain: An Unusual Cause of Headache

Case Presentation: 70-year-old lady presented with one-month history of progressively worsening headaches, nausea and dizziness necessitating an emergency room visit. Patient underwent CT of the brain which revealed chronic subdural hematoma requiring admission for further [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Sagging Brain: An Unusual Cause of Headache

‘sprue-Cing’ Up the Evaluation of Chronic Diarrhea: Let’s Look at the Medication List

770,000 people are admitted due to adverse drug events annually, with an annual cost of 5.6 around million dollars per hospital, making the patient’s medication list an object of scrutiny. Olmesartan is an angiotensin receptor [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on ‘sprue-Cing’ Up the Evaluation of Chronic Diarrhea: Let’s Look at the Medication List

The Heme of Heyde’s Syndrome

Case Presentation: An 80-year-old man with a past medical history of chronic lymphocytic leukemia, coronary artery disease, diabetic chronic kidney disease and heart failure reduced ejection fractionwith two months of intermittent hematochezia. Since onset of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on The Heme of Heyde’s Syndrome

Infectious Sacroiliitis As a Cause of Lower Back Pain in an Immunocompromised Patient

Case Presentation: 43 year old HIV positive, type I diabetic female (on lopinavir-ritonavir, efavirenz; last CD4 count 942; negative viral load), presented to Emergency Department (ED) with lower back pain radiating bilaterally to buttocks for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Infectious Sacroiliitis As a Cause of Lower Back Pain in an Immunocompromised Patient

Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

Background: As part of the Choosing Wisely campaign, the Society of Hospital Medicine highlights use of telemetry monitoring as one of the top interventions that physicians and patients should use judiciously.  While telemetry is invaluable [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

Can We Be Smarter About Ordering Renal Ultrasounds for Acute Kidney Injury Patients?

Background: Renal ultrasound (RUS) is frequently used as part of the routine work-up for acute kidney injury (AKI) for the hospitalized patient.  Society guidelines and previous literature suggest that RUS should be ordered when an [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Can We Be Smarter About Ordering Renal Ultrasounds for Acute Kidney Injury Patients?

Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population

Background: Pneumonia readmission rates are publicly reported and included as quality indicators in Medicare Value-Based Purchasing programs. The Yale New Haven Readmission Risk Score (YNHRRS) for Pneumonia is a tool that uses 25 variables including [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population

Patient Experience with Dishcarge Instructions in Post-Discharge Recovery

Background: The role of discharge instructions in post-discharge recovery remains unexplored.  We examined the role of discharge instructions in post-discharge care for patients undergoing colorectal surgery and report themes related to patient perceptions of discharge [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Patient Experience with Dishcarge Instructions in Post-Discharge Recovery

Improving Decision-Making and Outcomes in Transitions to Post-Acute Care Facilities

Background: The number of older adults discharged to post-acute care (PAC) facilities (such as skilled nursing facilities) after hospitalization is increasing rapidly, but their clinical course in PAC is uncertain.  More than 25% will be [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Improving Decision-Making and Outcomes in Transitions to Post-Acute Care Facilities